Ecclesia Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ECCLESIA BEHAVIORAL HEALTH LLC

Practice address

107 Dr Martin Luther King Jr Ave Ste 1
Inverness, FL 34450

Phone

(352) 233-1814

NPI assigned

Feb 27, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Clayton Rowell, LCSW

Title

Owner

Phone

(352) 233-1814

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1568963395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344510031",
            "telephone_number": "352-233-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DR MARTIN LUTHER KING JR AVE STE 1",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34450",
            "telephone_number": "352-233-1814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7074 SW 131st Loop",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344733886",
            "country_code": "US",
            "telephone_number": "352-223-1814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ECCLESIA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "ROWELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-233-1814",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Inverness, FL
• Providers in Inverness, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.